CBCS Practice Test
Questions with Correct Answers
100% Verified Graded A+
1.A patient's health plan is referred to as the payer of last resort. The patient is
covered by which of the following health plans?
Medicaid
CHAMPA
Medicare TRICARE
Answer:
Medicaid
2. A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non allowed
charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits
,Answer: Adjustment column of the credits
3. Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility
Answer: The deductible is the
patient's responsibility
4. Which of the following color formats allows optical scanning of the CMS-
1500 claim form?
-Red
-Blue
-Green
-black
,Answer: red
5. Ambulatory surgery centers, home health and hospice organizations use the
.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Answer: UB-04
6. Claims that are submitted without an NPI number will delay payment to the
provider because .
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number
Answer: The number is needed to identify
, the provider
7. Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment
Answer: coinsurance
8. Which of the following indicates a claim should be submitted on paper
instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional.
Answer: the claim requires
Questions with Correct Answers
100% Verified Graded A+
1.A patient's health plan is referred to as the payer of last resort. The patient is
covered by which of the following health plans?
Medicaid
CHAMPA
Medicare TRICARE
Answer:
Medicaid
2. A provider charged $500 to a claim that had an allowable amount of
$400. In which of the following columns should the CBCS apply the non allowed
charge?
-Reference column (For notations)
-Description column
-Payment column
-Adjustment column of the credits
,Answer: Adjustment column of the credits
3. Which of the following statements is correct regarding a deductible?
-Coinsurance is a type of deductible
-The physician should write off the deductible
-The insurance company pays for the deductible
-The deductible is the patient's responsibility
Answer: The deductible is the
patient's responsibility
4. Which of the following color formats allows optical scanning of the CMS-
1500 claim form?
-Red
-Blue
-Green
-black
,Answer: red
5. Ambulatory surgery centers, home health and hospice organizations use the
.
-CMS-1500 claim form
-UB-04 claim form
-Advance Beneficiary notice
-First report of injury form
Answer: UB-04
6. Claims that are submitted without an NPI number will delay payment to the
provider because .
-The number is the patient' id number
-The number is needed to identify the provider
-Is is used as a claim number
-It is used as a pre authorization number
Answer: The number is needed to identify
, the provider
7. Which of the following terms describes when a plan pays 70% of the allowed
amount and the patient pays 30%?
-Coinsurance
-Deductible
-Premium
-copayment
Answer: coinsurance
8. Which of the following indicates a claim should be submitted on paper
instead of electronically?
-The software claims review process indicates the claim is not complete
-The claim needs authorization
-The claim requires an attachment
-The practice management software is non functional.
Answer: the claim requires
